Just Doctoring

Medical Ethics in the Liberal State

Troyen A. Brennan

• Publisher: University of California Press
• Year: 2024
• Print ISBN: 9780520319578
• eBook ISBN: 9780520319585
• Edition: 1
• Topic: Philosophy
• Subtopic: Ethics & Moral Philosophy

Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of physician to patient in a setting that has left the physician virtually untouched by market constraints or government regulation. Arguing that changes in health care institutions and legal attention to patient rights have made conventional approaches obsolete, Troyen Brennan points the way to a new, more aware and engaged medical ethics. The medical profession is no longer isolated, even theoretically, from the liberal, market-dominated state. Old ideas of physician beneficence and altruism must make way for a justice-based medical ethics, assuming a relationship between equals more compatible with liberal political philosophy. Brennan offers clinical examples of many of today's most challenging medical problems--from informed consent to care rationing and the repercussions of the HIV epidemic--and gives his recommendation for a new ethical perspective. This lively and controversial plea for a rethinking of medical ethics goes right to the heart of medical care at the end of the twentieth century. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1991.
Just Doctoring draws the doctor-patient relationship out of the consulting room and into the middle of the legal and political arenas where it more and more frequently appears. Traditionally, medical ethics has focused on the isolated relationship of phys

Table of contents

• Cover
• Title
• Copyright
• Contents
• Preface
• Acknowledgments
• 1 The Liberal State
• 2 The Medical Enterprise and Medical Ethics
• 3 Medicine in the Liberal State
• 4 Just Doctoring: Medical Ethics for the 1990s
• 5 Informed Consent
• 6 Physicians and Quality of Medical Care
• 7 The Challenge of AIDS
• 8 Limits on Care
• 9 The Economic and Political Structure of Medical Practice
• 10 Concluding Thoughts: Trust and Antitrust
• Notes
• Index